Okufanele Ukwazi Nge-Migraine Cocktail

-Delile

• Iyini i-migraine cocktail?
• Ingabe ikhona imiphumela engemihle?
• Kuthiwani nge-OTC migraine cocktail?
• Iphephe kangakanani i-OTC migraine cocktail?
• Yiziphi ezinye izinhlobo zemithi ezingasiza?
• Kuthiwani ngamavithamini, izengezo, namanye amakhambi?
• Okubalulekile

Kulinganiselwa ukuthi abaseMelika babhekana ne-migraine. Ngenkathi lungekho ikhambi, i-migraine ivame ukwelashwa ngemithi edambisa izimpawu noma esiza ukuvimbela ukuhlaselwa yi-migraine ukuthi kungenzeki kwasekuqaleni.

Kwesinye isikhathi, kuzimo zezokwelapha, izimpawu ze-migraine zingelashwa nge- "migraine cocktail." Lesi akusona isiphuzo, kepha kunalokho inhlanganisela yemithi ethile yokusiza ukukhulula izimpawu ze-migraine.

Lo mbhalo uzobhekisisa ukuthi yini ese-migraine cocktail, imiphumela engemihle engaba khona, nezinye izindlela zokwelashwa kwe-migraine.

Iyini i-migraine cocktail?

Uma uzithola ufuna ukunakekelwa kobuhlungu be-migraine, enye yezindlela zokwelashwa onganikezwa i-cocktail ye-migraine.

Kodwa yini ngempela le ndlela yokwelashwa kwe-migraine, futhi izithako ezahlukahlukene zenzani?

Kubalulekile ukuqaphela ukuthi imishanguzo eku-cocktail ye-migraine ingahluka ngokuya ngezinye izimo zezokwelapha kanye nempendulo yakho yangaphambilini ekwelashweni kwe-migraine.

Eminye yemithi engafakwa kwi-migraine cocktail ifaka:

• Ama-Triptans: Le mithi inemiphumela yokulwa nokuvuvukala futhi kucatshangwa ukuthi inciphisa imithambo yegazi ebuchosheni bakho, isiza ekudambiseni izinhlungu. Isibonelo se-triptan ku-migraine cocktail yi-sumatriptan (Imitrex).
• I-antiemetics: Le mithi ingasiza ngobuhlungu, futhi. Abanye bangaphinda banciphise isicanucanu nokuhlanza. Izibonelo ezingasetshenziswa ku-migraine cocktail zifaka i-prochlorperazine (Compazine) ne-metoclopramide (Reglan).
• Ama-alkaloids ama-Ergot: Ama-alkaloid ama-Ergot asebenza ngendlela efanayo nama-triptan. Isibonelo se-ergot alkaloid esetshenziswe ku-migraine cocktail yi-dihydroergotamine.
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID): Ama-NSAID uhlobo lwemithi ekhulula izinhlungu. Uhlobo olulodwa lwe-NSAID olungaba khona ku-migraine cocktail yi-ketorolac (Toradol).
• IV steroids: IV steroids isebenza ukudambisa ubuhlungu nokuvuvukala. Banganikezwa ukusiza ukuvimbela i-migraine yakho ukuthi ingabuyi ezinsukwini ezimbalwa ezizayo.
• Uketshezi olufakwa ngaphakathi (IV): Uketshezi lwe-IV lusiza ukufaka noma yikuphi uketshezi okungenzeka ukuthi ulahlekile. Lezi ziketshezi zisiza futhi ekuvikeleni imiphumela emibi emithini efakwe kwi-migraine cocktail.
• IV magnesium: I-Magnesium yinto yemvelo evame ukusetshenziselwa ukuvimbela ukuhlaselwa yi-migraine.
• IV valproic acid (I-Depakote): Lo ngumuthi wokuquleka ongasetshenziswa ukwelapha ukuhlaselwa okunzima kwe-migraine.

Imithi ekwi-cocktail ye-migraine ivame ukunikezwa nge-IV. Ngokuvamile, kuthatha cishe ihora noma ngaphezulu ukuthi imiphumela yalokhu kwelashwa iqale ukusebenza nokuzwa ukukhululeka kwezimpawu.

Ingabe ikhona imiphumela engemihle?

Imithi ngayinye engafakwa kwi-migraine cocktail inemiphumela yayo emibi. Eminye yemiphumela emibi ejwayelekile yomuthi ngamunye ifaka okulandelayo:

• Ama-Triptans:
  • ukukhathala
  • izinhlungu nezinhlungu
  • ukuqina ezindaweni ezifana nesifuba, intamo, nomhlathi
• I-Neuroleptics ne-antiemetics:
  • izicubu zemisipha
  • ukuthuthumela kwemisipha
  • ukungahlaliseki
• Ama-alkaloids ama-Ergot:
  • ubuthongo
  • ukucasuka kwesisu
  • isicanucanu
  • ukuhlanza
• Ama-NSAID:
  • ukucasuka kwesisu
  • isifo sohudo
  • ubuhlungu besisu
• Ukuphuza ama-steroid:
  • isicanucanu
  • isiyezi
  • inkathazo yokulala

Kuthiwani nge-OTC migraine cocktail?

Kungenzeka futhi ukuthi uzwile nge-over-the-counter (OTC) migraine cocktail. Lokhu kuyinhlanganisela yemithi emithathu:

• I-Aspirin, ama-milligram angama-250 (mg): Lo muthi usetshenziselwa ukunciphisa izinhlungu nokuvuvukala.
• I-Acetaminophen, 250 mg: Kudambisa izinhlungu ngokunciphisa inani lama-prostaglandin akhiqizwa ngumzimba wakho.
• I-caffeine, 65 mg: Lokhu kubangela i-vasoconstriction (ukuncipha kwemithambo yegazi).

Uma zihlanganiswa ndawonye, ​​ngasinye salezi zithako singasebenza kangcono ekunciphiseni izimpawu ze-migraine kunesithako ngasinye.

Lo mphumela ubonwe ku-. Inhlanganisela engaguquki ye-aspirin, i-acetaminophen, ne-caffeine yatholakala inikela ngokukhululeka okukhulu kakhulu kunemithi ngayinye ngokwayo.

I-Excedrin Migraine ne-Excedrin Amandla Angeziwe yimithi emibili ye-OTC equkethe i-aspirin, i-acetaminophen, ne-caffeine.

Kodwa-ke, odokotela bavame ukweluleka iziguli ukuthi zigweme i-Excedrin kanye nemikhiqizo yayo ngenxa yengozi yemithi yokusebenzisa ikhanda ngokweqile.

Esikhundleni salokho, odokotela batusa ukuthatha ibuprofen (Advil, Motrin), naproxen (Aleve), noma i-acetaminophen (iTylenol). Ngokuvamile beluleka ngokumelene ne-OTC caffeine, ngoba ingadala imiphumela emibi efana nenhliziyo yokujaha nokuqwasha.

Kukhona nemikhiqizo ejwayelekile engahle ibe nenhlanganisela efanayo yezithako. Qiniseka ukuthi uhlola ukufakwa komkhiqizo ukuqinisekisa izithako ezisebenzayo.

Iphephe kangakanani i-OTC migraine cocktail?

Imithi ye-OTC migraine equkethe i-aspirin, i-acetaminophen, ne-caffeine kungenzeka ingaphephi kuwo wonke umuntu. Lokhu ikakhulukazi kwenzeka:

• abantu abake baba nomuzwa wokuqala wokungezwani nezinto ezithile kulezi ezintathu
• noma ngubani othatha eminye imithi equkethe i-acetaminophen
• izingane ezingaphansi kweminyaka eyi-12, ngenxa yengozi ye-Reye syndrome
• ingozi yokwelashwa ngokweqile kwekhanda

Khuluma nodokotela wakho ngaphambi kokusebenzisa lolu hlobo lomkhiqizo uma:

• ube nokuhlaselwa kwe-migraine okunzima kakhulu noma ubuhlungu bekhanda obuhlukile kusiqephu sakho esijwayelekile
• ukhulelwe noma uncelise ibele
• unesifo sesibindi, isifo senhliziyo, noma isifo sezinso
• ube nomlando wezimo ezifana nesilungulela noma izilonda
• uphethwe yisifuba somoya
• bathatha noma yimiphi eminye imishanguzo, ikakhulukazi isisu, izidakamizwa ezinciphisa igazi, ama-steroids, noma amanye ama-NSAID

Eminye imiphumela emibi engaba khona yalolu hlobo lwemithi ifaka:

• ubuhlungu besisu
• isicanucanu noma ukuhlanza
• isifo sohudo
• isiyezi
• inkathazo yokulala
• imithi isebenzisa ikhanda ngokweqile

Yiziphi ezinye izinhlobo zemithi ezingasiza?

Kuneminye imithi engasiza ekunciphiseni izimpawu ze-migraine. Lokhu kuvame ukuthathwa ngokushesha nje lapho uzizwa ukuqala kwezimpawu. Kungenzeka ujwayelene nezinye zazo ezigabeni ezingenhla. Kubandakanya:

• Imithi ye-OTC: Lokhu kufaka phakathi izidakamizwa ezifana ne-acetaminophen (Tylenol) nama-NSAID afana ne-ibuprofen (Advil, Motrin), ne-aspirin (Bayer).
• Ama-Triptans: Kukhona ama-triptan amaningi angasiza ekunciphiseni izimpawu ze-migraine. Izibonelo zifaka phakathi i-sumatriptan (Imitrex), i-rizatriptan (i-Maxalt), ne-almotriptan (i-Axert).
• Ama-alkaloids ama-Ergot: Lokhu kungasetshenziswa ezimweni lapho ama-triptan engasebenzi ukunciphisa izimpawu. Ezinye izibonelo zifaka phakathi i-dihydroergotamine (Migranal) ne-ergotamine tartrate (Ergomar).
• Ama-gepants: Le mithi ivame ukusetshenziselwa ukwelapha ubuhlungu obunzima be-migraine futhi ingahle inikezwe iziguli ezingakwazi ukuthatha ama-triptan. Izibonelo zifaka i-ubrogepant (Ubrelvy) ne-rimegepant (i-Nurtec ODT).
• I-Ditans: Le mithi ingasetshenziswa futhi esikhundleni sama-triptan. Isibonelo yi-lasmiditan (Reyvow).

Kukhona nemithi engathathwa ukusiza ukuvimbela ukuhlaselwa yi-migraine ukuthi kungenzeki. Ezinye izinketho zifaka:

• Imithi yengcindezi yegazi: Izibonelo zifaka i-beta-blockers kanye ne-calcium channel blockers.
• Imithi elwa nokudangala: I-Amitriptyline ne-venlafaxine kungama-anti-depressants amabili angama-tricyclic angasiza ekuvimbeleni ukuhlaselwa yi-migraine.
• Imithi ye-Antiseizure: Lokhu kufaka phakathi imithi efana ne-valproate ne-topiramate (Topamax).
• I-CGRP inhibitors: Imithi ye-CGRP inikezwa ngomjovo njalo ngenyanga. Izibonelo zifaka i-erenumab (Aimovig) ne-fremanezumab (Ajovy).
• Imijovo ye-Botox: Umjovo weBotox onikezwa njalo ezinyangeni ezintathu ungasiza ekuvimbeleni i-migraine kwabanye abantu.

Kuthiwani ngamavithamini, izengezo, namanye amakhambi?

Ngaphezu kwezinhlobo eziningi zemithi, kunezindlela zokwelapha ezingezona ezemithi ezingasiza ukukhulula izimpawu noma ukuvimbela ukuqala kwe-migraine.

Ezinye izinketho zifaka:

• Amasu okuphumula: Imikhuba yokuphumula efana ne-biofeedback, izivivinyo zokuphefumula, nokuzindla kungasiza ekunciphiseni ukucindezeleka nokungezwani, okuvame ukudala ukuhlaselwa yi-migraine.
• Ukuvivinya umzimba njalo: Uma uzivocavoca umzimba, ukhipha ama-endorphin, okuyizidambisa izinhlungu zemvelo. Ukuvivinya umzimba njalo kungasiza ukwehlisa amazinga akho okucindezeleka, nawo angavimbela ukuqala kwe-migraine.
• Amavithamini namaminerali: Kunobunye ubufakazi bokuthi amavithamini namaminerali ahlukahlukene angaxhunyaniswa ne-migraine. Izibonelo zifaka i-vitamin B-2, i-coenzyme Q10, ne-magnesium.
• Ukuthena: Lena inqubo lapho izinaliti ezondile zifakwa khona ezindaweni ezithile zokucindezela emzimbeni wakho. Kucatshangwa ukuthi ukutshopa kungasiza ekubuyiseni ukuhamba kwamandla emzimbeni wakho wonke.Lokhu kungasiza ekunciphiseni ubuhlungu be-migraine futhi kunciphise imvamisa yokuhlaselwa kwe-migraine, yize ucwaningo ngalokhu lungaqondakali.

Kubalulekile ukuthi wazi ukuthi amanye amakhambi, amavithamini, kanye nezengezo zamaminerali kungenzeka kungaphephi kuwo wonke umuntu. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuzama la makhambi.

Okubalulekile

I-migraine cocktail iyinhlanganisela yemithi enikezwa ukwelapha izimpawu ezinzima ze-migraine. Imithi ngqo esetshenziswa kwi-migraine cocktail ingahluka, kepha ifaka phakathi ama-triptan, ama-NSAID, kanye ne-antiemetics.

I-migraine cocktail nayo iyatholakala emithini ye-OTC. Imikhiqizo ye-OTC imvamisa iqukethe i-aspirin, i-acetaminophen, ne-caffeine. Lezi zingxenye zisebenza kahle kakhulu lapho zisetshenziswa ndawonye kunangesikhathi zithathwa zodwa.

Izinhlobo eziningi zemithi ejwayelekile zisetshenziselwa ukwelapha noma ukuvimbela izimpawu ze-migraine. Ngokwengeziwe, amanye amakhambi, izengezo, namasu okuphumula nawo angasiza. Kubalulekile ukukhuluma nodokotela wakho ngohlobo lwezokwelapha olungakusiza kakhulu.